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Brain Immaturity Could Explain Teen Crash Rate

Risky Behavior Diminishes At Age 25, NIH Study Finds

By Elizabeth Williamson
Washington Post Staff Writer
Tuesday, February 1, 2005; Page A01

By most physical measures, teenagers should be the world's best drivers. Their muscles are supple, their reflexes quick, their senses at a lifetime peak. Yet car crashes kill more of them than any other cause -- a problem, some researchers believe, that is rooted in the adolescent brain.

A National Institutes of Health study suggests that the region of the brain that inhibits risky behavior is not fully formed until age 25, a finding with implications for a host of policies, including the nation's driving laws.

Growth Takes Longer Than Presumed: A study by the National Institute of Mental Health and UCLA shows that the region of the brain that inhibits risky behavior does not mature as quickly as previously thought.
Accident Victims: The number of young people killed in traffic accidents has surged in recent weeks.
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"We'd thought the highest levels of physical and brain maturity were reached by age 18, maybe earlier -- so this threw us," said Jay Giedd, a pediatric psychiatrist leading the study, which released its first results in April. That makes adolescence "a dangerous time, when it should be the best."

Last month, Sen. William C. Mims (R-Loudoun) cited brain development research in proposing a Virginia bill that would ban cell phone use in vehicles by drivers younger than 18. It passed Friday.

In Maryland, Dels. Adrienne A. Mandel and William A. Bronrott said the research could bolster three bills the Montgomery County Democrats submitted to the legislature Friday. The bills would expand training and restrict passenger numbers and cell phone use for certain teenage drivers.

The measures also are supported by crash statistics and a soon-to-be-released study from Temple University, which used a driving-style test to show that young people consistently take greater risks when their friends are watching.

"This goes toward supporting evidence that the judgment of teens further deteriorates with distractions. These crashes are preventable," Mandel said. "I would welcome [researchers'] testimony at our bill hearings."

The research has implications beyond driving: Attorneys cited brain development studies as the U.S. Supreme Court considered whether juvenile offenders should be eligible for the death penalty. The court is expected to reach a decision by midyear.

Critics of brain-imaging research -- and Giedd himself -- emphasize that there is no proven correlation between brain changes and behavior. Giedd, however, said the duration and depth of the study mean "it's time to bring neuroscience to the table" in the teen driving debate.

"We can determine what is the relationship between brain development and driving ability and what we can do to make it better," Giedd said.

At Temple University in Philadelphia, psychology professor and researcher Laurence Steinberg plans a new study: scanning teenagers' brains while they perform a task that simulates driving decisions, in an effort to understand the biological underpinnings of risk-taking among young people.

Giedd intends to pursue similar studies with his subjects, focusing on ways to give young people, and those responsible for them, more tools for beating the odds.

Teenagers are four times as likely as older drivers to be involved in a crash and three times as likely to die in one, according to the Insurance Institute for Highway Safety.

"Right now our first subjects are reaching driving age," Giedd said. "What better application could there be than saving their lives?"

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